中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2010年
7期
751-754
,共4页
张树成%王维林%曲日斌%苏朋俊%张世伟%张浩然%谭士勇%陈晓娟%张威%艾德斌%吴海涛%宫良才%王剑利%何艳%宛超%董光辉
張樹成%王維林%麯日斌%囌朋俊%張世偉%張浩然%譚士勇%陳曉娟%張威%艾德斌%吳海濤%宮良纔%王劍利%何豔%宛超%董光輝
장수성%왕유림%곡일빈%소붕준%장세위%장호연%담사용%진효연%장위%애덕빈%오해도%궁량재%왕검리%하염%완초%동광휘
功能性便秘%流行病学%儿童
功能性便祕%流行病學%兒童
공능성편비%류행병학%인동
Functional constipation%Epidemiology%Childhood
目的 对中国北方城市儿童排便习惯进行调查,探讨儿童功能性便秘(FC)的患病率和流行病学特征.方法 应用分层、整群随机抽样方法对中国北方5市(北京、天津、沈阳、长春和哈尔滨)4～14岁常住儿童进行问卷调查和普查,根据普查结果按国际通用的儿童RomeⅢ标准(H3a)判断的FC检出率,再对筛出的部分儿童进行全面检查(包括结肠传输试验、钡灌肠造影、肌电图、消化道测压)以排除结肠器质性疾病,并分析儿童FC的地域、年龄和性别分布.结果 北方5市调查的19286名儿童中FC患病率为4.73%.北京地区儿童患病率(5.02%)明显高于其他地区(分别为4.82%、4.76%、4.27%和4.40%),差异有统计学意义(P＜0.001);4～6岁为最常见的患病年龄段.分层研究表明不同地区相同年龄段儿童FC的患病率不同,差异有统计学意义(P＜0.001),基本与总体分布接近,FC分布具有地域差异;相同地区不同年龄段儿童FC患病率不同,差异有统计学意义(P＜0.001),基本与总体分布接近,FC分布具有年龄差异.结论 儿童FC是常见病多发病,好发于4～6岁儿童,患病率有地区差异.
目的 對中國北方城市兒童排便習慣進行調查,探討兒童功能性便祕(FC)的患病率和流行病學特徵.方法 應用分層、整群隨機抽樣方法對中國北方5市(北京、天津、瀋暘、長春和哈爾濱)4～14歲常住兒童進行問捲調查和普查,根據普查結果按國際通用的兒童RomeⅢ標準(H3a)判斷的FC檢齣率,再對篩齣的部分兒童進行全麵檢查(包括結腸傳輸試驗、鋇灌腸造影、肌電圖、消化道測壓)以排除結腸器質性疾病,併分析兒童FC的地域、年齡和性彆分佈.結果 北方5市調查的19286名兒童中FC患病率為4.73%.北京地區兒童患病率(5.02%)明顯高于其他地區(分彆為4.82%、4.76%、4.27%和4.40%),差異有統計學意義(P＜0.001);4～6歲為最常見的患病年齡段.分層研究錶明不同地區相同年齡段兒童FC的患病率不同,差異有統計學意義(P＜0.001),基本與總體分佈接近,FC分佈具有地域差異;相同地區不同年齡段兒童FC患病率不同,差異有統計學意義(P＜0.001),基本與總體分佈接近,FC分佈具有年齡差異.結論 兒童FC是常見病多髮病,好髮于4～6歲兒童,患病率有地區差異.
목적 대중국북방성시인동배편습관진행조사,탐토인동공능성편비(FC)적환병솔화류행병학특정.방법 응용분층、정군수궤추양방법대중국북방5시(북경、천진、침양、장춘화합이빈)4～14세상주인동진행문권조사화보사,근거보사결과안국제통용적인동RomeⅢ표준(H3a)판단적FC검출솔,재대사출적부분인동진행전면검사(포괄결장전수시험、패관장조영、기전도、소화도측압)이배제결장기질성질병,병분석인동FC적지역、년령화성별분포.결과 북방5시조사적19286명인동중FC환병솔위4.73%.북경지구인동환병솔(5.02%)명현고우기타지구(분별위4.82%、4.76%、4.27%화4.40%),차이유통계학의의(P＜0.001);4～6세위최상견적환병년령단.분층연구표명불동지구상동년령단인동FC적환병솔불동,차이유통계학의의(P＜0.001),기본여총체분포접근,FC분포구유지역차이;상동지구불동년령단인동FC환병솔불동,차이유통계학의의(P＜0.001),기본여총체분포접근,FC분포구유년령차이.결론 인동FC시상견병다발병,호발우4～6세인동,환병솔유지구차이.
Objective Functional constipation (FC) is a common complaint in childhood but the prevalence still remains unclear, the aim of this study was to explore the prevalence of FC in childhood in the northern parts of China. Methods A screening program on FC in childhood was carried out in 5 northern cities (Beijing, Tianjin, Shenyang, Changchun, Harbin) of China according to symptoms under the Rome Ⅲ criteria. Random clustered sampling of the inhabitants was carried out under stratification of cities, geographic zones, schools or nurseries.Sample size of each area was in proportion to the population of the area. The range of age was 4-14. All subjects under study were requested to fill in a questionnaire distributed by the teachers. The screening program was carried out immediately after a section survey was completed. All together, 20 000 questionnaires were distributed with 19 638 retrievals. According to the result of the screening, a small number of patients who met the criteria were further selected to undergo a detailed clinical examination in the hospital including laboratory examination, colonic transit time, defecography or/and barium enema, electromyologram and anorectal manometry to exclude organic disease of the colon. Simultaneously, a detailed questionnaire was requested to fill under the assistance of trained doctors or medical students.Prevalence of FC of the population was adjusted by the rate of correct diagnosis from the detailed study. Results The adjusted point prevalence of FC in 5 northern cities of China according to Rome Ⅲ criteria was 4.73% with higher prevalence rate of FC seen in the Beijing area (5.02%) than in other cities (4.82%, 4.76%, 4.27%, 4.40%, with P＜0.001 ). Male to female ratio was 1.26:1 with majority of the FC fell in the 4-6 year olds (5.76%). Conclusion FC appeared a common disorder in childhood in the northern parts of China which called for greater attention. Higher prevalence was noted in the age groups of 4-6.
